LA JOLLA EMERGENCY SPECIALISTS (NPI# 1710315353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710315353 |
| Entity Type | Organization |
| Organization Name | LA JOLLA EMERGENCY SPECIALISTS |
| Practice Address |
9888 Genesee Ave La Jolla CA 92037-1205 |
| Mailing Address |
Po Box 660997 Arcadia CA 91066-0997 |
| Practice Telephone | 8586266150 |
| Practice Fax Number | 8586267117 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6264476057 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | CHRISTOPHER T WIESNER (PRESIDENT) |
| Authorized Official Telephone | 6264470296 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
9888 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886207 | Gregory Daniel Medley | Pharmacist | 9888 Genesee Ave, Lj-18, La Jolla, CA 92037-1276 | 2005-07-26 |
| 1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
| 1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| 1629690946 | Lillian H Pak | Registered Nurse | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-05-08 |
| 1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
| 1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
| 1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1376886622 | Martin L Jackier | Emergency Medicine | 5431 La Jolla Blvd Apt A, La Jolla, CA 92037-7649 | 2013-04-04 |
| 1295073153 | Rodney Drace Sornson | Emergency Medicine | 1427 Cottontail Ln, La Jolla, CA 92037-7428 | 2013-01-27 |
| 1124204383 | Heather Renee Villani | Emergency Medicine | 775 Midway St, La Jolla, CA 92037-7637 | 2008-01-17 |
| 1578504932 | Elaine M Sapiro | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-06-09 |
| 1770534067 | Taylor Y. Cardall | Emergency Medicine | 9888 Genesee Ave # Lj-105, La Jolla, CA 92037-1205 | 2006-05-12 |
| 1063475507 | Richard M Obler | Emergency Medicine | 354 Ricardo Pl, La Jolla, CA 92037-7941 | 2006-04-07 |
| 1194793919 | Richard Lee Stennes | Emergency Medicine | 2533 Calle Del Oro, La Jolla, CA 92037-2005 | 2006-03-08 |
| 1851370555 | Cynthia A. Purviance | Emergency Medicine | 8910 Villa La Jolla Dr, La Jolla, CA 92037 | 2006-01-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.